浮紧属寒,浮缓属风,浮数属热,浮细属湿,浮涩属房劳,浮滑属痰。浮大者生,沉小
者危。弦疾者胃气败。
论云∶《内经》谓肺咳之状,咳而喘息有音,甚则吐血;心咳之状,咳而心痛,喉仲介介如
梗状,甚则咽痛喉痹;肝咳之状,咳而两胁下痛,甚则不可以转,转则两 下满;脾咳之
状,咳而右胁下痛,隐隐引肩背,甚则不可以动,动则咳剧;肾咳之状,咳则腰背相引而痛,
甚则咳涎。五脏之咳,久而不已,乃传六腑;六腑之咳,《内经》论之详矣。
杏子汤(《圣济》)
治咳嗽昼减夜增,不得眠,食即吐逆。
杏仁(去皮尖) 半夏 桑白皮 白蒺藜 百合 麻黄(去根节) 柴胡 白石脂 款
冬花 枳壳 肉桂(去粗皮) 紫菀 旋复花 川贝母(以上各五分) 糯米(三钱) 生
姜(二片) 水煎服。
蛤蚧丸(《圣济》)
治久咳嗽喘急。
蛤蚧(一对,酥炙) 半夏 杏仁(去皮尖 研,各一两) 栝蒌(大者二枚 去子 取肉 蒸 饼) 阿胶(蛤
粉炒) 人参(各五钱) 青皮(去白,二钱五分) 干姜(汤泡,二两)
上共为细末,炼蜜和丸,如小豆大,空心米汤送下二十丸。
五灵脂汤(《圣济》)
治肺咳及诸咳。
五灵脂 马兜铃(各一钱) 人参 五味 炙甘草 桑白皮 陈皮 杏仁(去皮尖,各
五钱) 生姜(二片)
水煎空心温服。
人参桔梗散(《圣济》)
治心咳嗽,咽喉肿痛。
人参(五分) 桔梗(二钱) 茯苓 牛蒡子(炒,各一钱五分) 炙甘草(七分)
共为末,姜汤空心下(二钱,日三。)
木乳散(《圣济》)
治肝咳嗽,两胁下满。
木乳(即皂荚树根皮,酥炙,三两) 杏仁(去皮尖,研) 贝母(去心,各三两)
炙甘草(一两)
共为细末。姜橘汤送下二钱。
半夏陈皮汤(《圣济》)
治脾咳嗽。
半夏 陈皮 杏仁(去皮尖) 赤茯苓 柴胡 麻黄(去根节各一钱) 甘草(五分) 生姜(一片)
水煎,空心温服。
四味散(《圣济》)
治肾咳嗽。
补骨脂(炙) 牵牛子(半生半炒) 杏仁(去皮尖,各一两) 郁李仁(五钱) 共研末。茶送下二钱。
黄 散(《圣济》)
治大肠咳嗽。
黄 人参 白茯苓 桑白皮(各一钱) 甘草(三钱)
上为细末。滚汤下三钱。
鹿角胶汤(《圣济》)
治大肠咳嗽。
鹿角胶 杏仁(去皮尖) 甘草 半夏(姜汁炒) 麻黄(去根节,各一钱) 生姜(三片) 水煎,空心温服。
脉象浮而紧的属于寒邪,浮而缓的属于风邪,浮而数的属于热邪,浮而细的属于湿邪,浮而涩的属于房劳过度,浮而滑的属于痰饮。脉象浮大的预后良好(生),脉象沉小的病情危重(危)。脉象弦而急疾的,说明胃气已经败绝。
《内经》论述说:肺咳的症状是咳嗽且喘息有声,严重时甚至吐血;心咳的症状是咳嗽时伴随心痛,喉咙里感觉像有异物梗塞一样,严重时咽喉疼痛且闭塞不通;肝咳的症状是咳嗽时两侧胁下疼痛,严重时身体不能转动,一转动两侧胁下就感到胀满;脾咳的症状是咳嗽时右侧胁下疼痛,隐隐牵引至肩背部,严重时不能活动,一动则咳嗽加剧;肾咳的症状是咳嗽时腰背相互牵引而痛,严重时咳出涎沫。五脏的咳嗽,如果久治不愈,就会传变到六腑;六腑的咳嗽,《内经》中已有详细论述。
杏子汤(出自《圣济总录》)
治疗咳嗽白天减轻、夜间加重,无法入睡,进食后即呕吐逆反。
杏仁(去皮和尖) 半夏 桑白皮 白蒺藜 百合 麻黄(去掉根和节) 柴胡 白石脂 款冬花 枳壳 肉桂(去掉粗皮) 紫菀 旋复花 川贝母(以上各五分) 糯米(三钱) 生姜(两片)
加水煎煮后服用。
蛤蚧丸(出自《圣济总录》)
治疗久咳气喘急促。
蛤蚧(一对,用酥油炙烤) 半夏 杏仁(去皮尖,研碎,各一两) 栝蒌(大的两枚,去掉籽取肉,蒸熟后与面饼混合) 阿胶(用蛤粉炒制) 人参(各五钱) 青皮(去掉白色部分,二钱五分) 干姜(用开水泡,二两)
以上药物共同研磨成细末,用炼蜜调和制成丸药,大小如小豆,空腹时用米汤送服二十丸。
五灵脂汤(出自《圣济总录》)
治疗肺咳及其他各种咳嗽。
五灵脂 马兜铃(各一钱) 人参 五味子 炙甘草 桑白皮 陈皮 杏仁(去皮尖,各五钱) 生姜(两片)
加水煎煮,空腹温服。
人参桔梗散(出自《圣济总录》)
治疗心咳,咽喉肿痛。
人参(五分) 桔梗(二钱) 茯苓 牛蒡子(炒,各一钱五分) 炙甘草(七分)
共同研磨成粉末,空腹时用姜汤送服二钱,每日三次。
木乳散(出自《圣济总录》)
治疗肝咳,两侧胁下胀满。
木乳(即皂荚树的根皮,用酥油炙烤,三两) 杏仁(去皮尖,研碎) 贝母(去掉心,各三两) 炙甘草(一两)
共同研磨成细末。用姜橘汤送服二钱。
半夏陈皮汤(出自《圣济总录》)
治疗脾咳。
半夏 陈皮 杏仁(去皮尖) 赤茯苓 柴胡 麻黄(去掉根节,各一钱) 甘草(五分) 生姜(一片)
加水煎煮,空腹温服。
四味散(出自《圣济总录》)
治疗肾咳。
补骨脂(炙) 牵牛子(一半生用,一半炒用) 杏仁(去皮尖,各一两) 郁李仁(五钱) 共同研磨成粉末。用茶送服二钱。
黄芪散(原文缺字,据方义补为黄芪,出自《圣济总录》)
治疗大肠咳。
黄芪 人参 白茯苓 桑白皮(各一钱) 甘草(三钱)
以上药物研磨成细末。用滚开水送服三钱。
鹿角胶汤(出自《圣济总录》)
治疗大肠咳。
鹿角胶 杏仁(去皮尖) 甘草 半夏(用姜汁炒) 麻黄(去掉根节,各一钱) 生姜(三片) 加水煎煮,空腹温服。
A pulse that is floating and tight indicates cold; floating and moderate indicates wind; floating and rapid indicates heat; floating and fine indicates dampness; floating and choppy indicates sexual exhaustion; floating and slippery indicates phlegm. A floating and large pulse suggests survival (favorable prognosis), while a sinking and small pulse indicates danger (critical condition). A string-like and rapid pulse signifies the failure of Stomach Qi.
The Treatise states: *Neijing* describes the symptoms of Lung Cough as coughing with wheezing and audible sounds, and in severe cases, hemoptysis (coughing up blood); Heart Cough presents with coughing accompanied by heart pain, a sensation of obstruction in the throat as if something were stuck, and in severe cases, sore throat and throat obstruction; Liver Cough manifests as coughing with pain under both hypochondria, and in severe cases, inability to turn the body, with distension under both hypochondria upon turning; Spleen Cough involves coughing with pain under the right hypochondrium, faintly radiating to the shoulder and back, and in severe cases, inability to move, with exacerbation of cough upon movement; Kidney Cough is characterized by coughing with pulling pain between the waist and back, and in severe cases, coughing up saliva. Coughs originating from the Five Zang organs, if prolonged and unhealed, will transmit to the Six Fu organs; the coughs of the Six Fu organs have been discussed in detail in *Neijing*.
Xingzi Tang (Apricot Decoction, from *Shengji Zonglu*)
Treats cough that decreases during the day and increases at night, insomnia, and vomiting immediately after eating.
Xingren (Apricot Seed, peeled and tips removed) Banxia Pinelliae Rhizoma Sangbaipi Cortex Mori Baijili Tribuli Fructus Baihe Bulbus Lilii Mahuang Ephedrae Herba Chaihu Bupleuri Radix Baishizhi Lithopsia Baihua Kua Donghua Flos Farfarae Zhike Aurantii Fructus Unripe Rougui Cinnamomi Cortex Ziwan Radix Asteris Xuanjinflos Flaveriae Flos Chuanbeimu Fritillariae Cirrhosae Bulbus (each 5 fen) Nuomi Oryza Sativa Glutinosa Semen Shengjiang Zingiberis Recens Rhizoma (2 slices)
Decoct in water and take orally.
Gejie Wan (Gekko Pill, from *Shengji Zonglu*)
Treats chronic cough with panting and urgency.
Gejie Gekko Mantle (one pair, fried with butter) Banxia Pinelliae Rhizoma Xingren Apricot Seed (peeled, tips removed, pounded, each 1 liang) Gualou Trichosanthis Fructus (two large ones, remove seeds, take flesh, steam with dough) Ejiao Asini Corii Colla (fried with Ge Fen/Gekko powder) Renshen Ginseng Radix Qingqi Aurantii Pericarpium Viride Ganjiang Zingiberis Rhizoma Dryum (soaked in boiling water, 2 liang)
Grind all into fine powder, mix with refined honey to form pills the size of small beans. Take 20 pills with rice soup on an empty stomach.
Wulingzhi Tang (Trogopterus Dung Decoction, from *Shengji Zonglu*)
Treats Lung Cough and various other coughs.
Wulingzhi Trogopterori Faeces Madouling Aristolochiae Fructus Renshen Ginseng Radix Wuweizi Schisandrae Fructus Zhigancao Glycyrrhizae Radix et Rhizoma Praeparatum Sangbaipi Cortex Mori Chenpi Citri Reticulatae Pericarpium Xingren Apricot Seed (peeled, tips removed, each 5 qian) Shengjiang Zingiberis Recens Rhizoma (2 slices)
Decoct in water and take warm on an empty stomach.
Renshen Jiegeng San (Ginseng and Platycodon Powder, from *Shengji Zonglu*)
Treats Heart Cough with swelling and pain in the throat.
Renshen Ginseng Radix Jiegeng Platycodon Radix Fuling Poria Niubiangzi Arctii Fructus (stir-fried) Zhigancao Glycyrrhizae Radix et Rhizoma Praeparatum
Grind together into powder. Take 2 qian with ginger tea on an empty stomach, three times daily.
Muru San (Tree Milk Powder, from *Shengji Zonglu*)
Treats Liver Cough with distension under both hypochondria.
Muru (Root bark of *Gleditsia sinensis*, fried with butter, 3 liang) Xingren Apricot Seed (peeled, tips removed, pounded) Beimu Fritillariae Bulbus Zhigancao Glycyrrhizae Radix et Rhizoma Praeparatum (1 liang)
Grind into fine powder. Take 2 qian with ginger and tangerine peel decoction.
Banxia Chenpi Tang (Pinellia and Tangerine Peel Decoction, from *Shengji Zonglu*)
Treats Spleen Cough.
Banxia Pinelliae Rhizoma Chenpi Citri Reticulatae Pericarpium Xingren Apricot Seed (peeled, tips removed) Chifuling Poria cum Radix Choristae Chaihu Bupleuri Radix Mahuang Ephedrae Herba (remove roots and joints, each 1 qian) Gancao Glycyrrhizae Radix et Rhizoma Zhigancao Glycyrrhizae Radix et Rhizoma Praeparatum (5 fen) Shengjiang Zingiberis Recens Rhizoma (1 slice)
Decoct in water and take warm on an empty stomach.
Siwei San (Four-Ingredient Powder, from *Shengji Zonglu*)
Treats Kidney Cough.
Buguzhi Psoraleae Fructus Qianliu Pharbitidis Semen Xingren Apricot Seed (peeled, tips removed, each 1 liang) Yuliren Pruni Semen (5 qian)
Grind into powder. Take 2 qian with tea.
Huangqi San (Astragalus Powder, from *Shengji Zonglu*) [Note: Original text missing character 'Qi', inferred from context and formula name]
Treats Large Intestine Cough.
Huangqi Astragali Radix Renshen Ginseng Radix Baifuling Poria Sangbaipi Cortex Mori (each 1 qian) Gancao Glycyrrhizae Radix et Rhizoma (3 qian)
Grind into fine powder. Take 3 qian with boiling water.
Lujiaojiao Tang (Deer Antler Gelatin Decoction, from *Shengji Zonglu*)
Treats Large Intestine Cough.
Lujiaojiao Cervi Cornu Colla Xingren Apricot Seed (peeled, tips removed) Gancao Glycyrrhizae Radix et Rhizoma Banxia Pinelliae Rhizoma (fried with ginger juice) Mahuang Ephedrae Herba (remove roots and joints, each 1 qian) Shengjiang Zingiberis Recens Rhizoma (3 slices)
Decoct in water and take warm on an empty stomach.